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Search › Missouri › 2080P0205X

Mark Eddy, MD

NPI 1760596126 · on the registry since 2006

Practice

Address
1465 S Grand Blvd
Saint Louis, MO 63104
Phone
(314) 577-5648
Fax
(314) 268-6448
Organisation at this address
Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
531

Registry record

Primary taxonomy
2080P0205X
2080P0205X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri